| NPI | 1144516642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125060367) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 07073927A) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2019-07-17 |