| NPI | 1558460139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 73863) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036093956) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2023-10-03 |