| NPI | 1669958799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 29119) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125073171) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2021-09-14 |