| NPI | 1124153085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 107607) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036085663) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |