| NPI | 1659711513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 85442) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.063981) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2022-11-14 |