| NPI | 1568657328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036147975) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VT 042.0010507) |
| 207R00000X Internal Medicine (Licence: VT 042-0010507) | |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2018-12-31 |