| NPI | 1659936490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.172523) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL MD.45380) |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2024-11-04 |