| NPI | 1821737107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036173375) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.080524) |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2025-08-07 |