| NPI | 1609840040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 02002857A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036111511) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2018-07-17 |