| NPI | 1245680602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036149626) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10057659) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2022-01-19 |