| NPI | 1770153298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036168319) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.078783) |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2024-11-07 |