| NPI | 1740856558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.170460) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2021019823) |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2024-07-26 |