| NPI | 1053440008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036138795) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2008-00673) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2015-09-16 |