| NPI | 1003100629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036135078) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-059287) |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2016-05-12 |