| NPI | 1942705553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036157006) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.073146) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2022-05-19 |