| NPI | 1386087757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2020031312) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT015051) |
| 207R00000X Internal Medicine (Licence: IL 036140309) | |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2020-10-16 |