| NPI | 1326591322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 158168) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.068017) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2019-08-30 |