| NPI | 1891310090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA ML61159997) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.077081) |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2021-07-14 |