| NPI | 1225567456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD61266063) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125070537) |
| Enumeration Date | 2017-06-10 |
| Last Update Date | 2022-03-29 |