| NPI | 1649730672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.160066) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.074243) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2022-07-07 |