| NPI | 1396276473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 67482) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.070364) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2020-06-24 |