| NPI | 1770730343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 23042) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125053088) |
| 207R00000X Internal Medicine (Licence: IL 036125825) | |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2023-06-09 |