| NPI | 1659371532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.103651) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 212859) |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2025-08-04 |