| NPI | 1912438482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 78718) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036152724) |
| Enumeration Date | 2017-03-25 |
| Last Update Date | 2025-04-16 |