| NPI | 1194386854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125.074937) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A176230) |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2022-09-22 |