| NPI | 1003307091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-163502) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301115340) |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2023-05-25 |