| NPI | 1700175551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 71260) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.134573) |
| 207R00000X Internal Medicine (Licence: CO DR.0058192) | |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2021-01-21 |