| NPI | 1669035259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 81424-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.073996) |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2023-06-14 |