| NPI | 1679802854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A126471) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036124390) |
| 207R00000X Internal Medicine (Licence: WI 54322) | |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2021-01-05 |