| NPI | 1003420977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 73296) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125076921) |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2023-05-16 |