| NPI | 1205240744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 62908) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-064879) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2019-06-25 |