| NPI | 1154940377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125.075948) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.075948) |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2020-05-29 |