| NPI | 1447659800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036143139) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.065569) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2022-02-24 |