| NPI | 1558680165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 69536) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125:057690) |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2021-01-11 |