| NPI | 1033536412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036153380) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R7491) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2021-01-07 |