| NPI | 1205316908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125.072841) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036153913) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2021-04-13 |