| NPI | 1104922285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036075602) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 36-075602) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2019-03-06 |