| NPI | 1548660814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME130189) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.064536) |
| Enumeration Date | 2014-08-24 |
| Last Update Date | 2020-01-06 |