| NPI | 1053504506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036126643) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 059772) |
| Enumeration Date | 2007-08-18 |
| Last Update Date | 2025-02-07 |