| NPI | 1639459597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125040267) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 82971-20) |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2024-01-26 |