| NPI | 1922388255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD207668) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125060408) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2022-01-26 |