| NPI | 1255858494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 83410) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.077754) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2024-12-10 |