| NPI | 1104114826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125059423) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.134266) |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2021-03-12 |