| NPI | 1770739732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 60264) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125054412) |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2024-04-08 |