| NPI | 1306296173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036161847) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL39593) |
| 207R00000X Internal Medicine (Licence: SC 39593) | |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2022-10-04 |