| NPI | 1558654095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2021011856) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 49774) |
| 207R00000X Internal Medicine (Licence: IL 036149044) | |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2022-08-31 |