| NPI | 1750693917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301116742) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125058042) |
| Enumeration Date | 2010-07-04 |
| Last Update Date | 2020-05-21 |