| NPI | 1578944989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 69430) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125067506) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2021-11-23 |