| NPI | 1295231215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.153695) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.072874) |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2021-06-16 |