| NPI | 1972151173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.159156) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.075308) |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2022-03-28 |