| NPI | 1154932291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125.076941) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME160590) |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2023-09-05 |