| NPI | 1770922296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301102970) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.154962) |
| 207R00000X Internal Medicine (Licence: KY C0110) | |
| 207R00000X Internal Medicine (Licence: MD D90818) | |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2022-08-31 |