| NPI | 1265477822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 89472) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL MD43075) |
| 207R00000X Internal Medicine (Licence: IL 036-097811) | |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2024-07-03 |