| NPI | 1619231461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 81434) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301108145) |
| 207R00000X Internal Medicine (Licence: IL 125061271) | |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2018-10-11 |