| NPI | 1033377635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 48395) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125051581) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2012-11-07 |