| NPI | 1114182961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 251751) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125055497) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2022-07-19 |