| NPI | 1578977922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036138632) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 53216) |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2024-02-20 |