| NPI | 1063906063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125.073267) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 338294) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2023-11-14 |