| NPI | 1861075871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036167149) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.077356) |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2024-02-12 |