| NPI | 1407067010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 47901) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.117364) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2021-04-09 |