| NPI | 1679794770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 52508) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-050519) |
| 207R00000X Internal Medicine (Licence: MD D0072642) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2019-09-04 |