| NPI | 1649658659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036157419) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C197592) |
| 207R00000X Internal Medicine (Licence: MI 4301107039) | |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2024-09-16 |