| NPI | 1013582147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 0125078345) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.078345) |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2021-08-12 |