| NPI | 1639394836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 139970) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-123642) |
| 207R00000X Internal Medicine (Licence: OH 57.011517) | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2024-06-28 |