| NPI | 1356683783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101264636) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 143499) |
| 207R00000X Internal Medicine (Licence: IL XXXXXXXXX) | |
| Enumeration Date | 2013-03-24 |
| Last Update Date | 2023-08-08 |