| NPI | 1649807793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036164996) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.075730) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2023-07-14 |