| NPI | 1124447198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036143630) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125064556) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2021-12-16 |