| NPI | 1366739013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036135092) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 7748) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2021-03-16 |