| NPI | 1497259287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 77050) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.071868) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2023-05-23 |