| NPI | 1396753018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2008030162) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036151344) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2021-02-05 |