| NPI | 1083020036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301111796) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125065101) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2018-08-01 |