| NPI | 1356966154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 83614-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.076011) |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2024-04-07 |