| NPI | 1295197481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036152773) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R9875) |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2020-07-14 |