| NPI | 1770505059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2011025927) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036113695) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2020-01-30 |