| NPI | 1881677953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 61993) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036112257) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2022-07-21 |