| NPI | 1376104364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036161513) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.075174) |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2022-10-21 |