| NPI | 1013124932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036099539) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M6230) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2019-02-14 |