| NPI | 1003266297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036149724) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.069407) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2023-08-18 |