| NPI | 1154989523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036160039) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.074225) |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2022-05-24 |