| NPI | 1851731350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036140954) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.063815) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2024-04-15 |