| NPI | 1649658659 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C197592)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301107039)  | 
| 207R00000X Internal Medicine (Licence: IL 036157419)  | |
| Enumeration Date | 2015-05-11 | 
| Last Update Date | 2024-12-20 |