| NPI | 1538620950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.158613) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.073993) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2022-10-24 |