| NPI | 1811250962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2022039069) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125061217) |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2022-10-11 |