| NPI | 1902298052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR DO197390) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036173236) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2025-05-28 |