| NPI | 1164050050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-165467) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.076526) |
| Enumeration Date | 2020-03-28 |
| Last Update Date | 2023-10-16 |