| NPI | 1134232168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60253695) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036114994) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2012-09-27 |