| NPI | 1770143893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036159695) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125074534) |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2022-08-09 |