| NPI | 1093978512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036127488) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125054401) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2011-08-04 |