| NPI | 1588015184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.150749) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.068850) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2019-09-24 |