| NPI | 1912430968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036152301) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.070752) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2021-01-21 |