| NPI | 1154306082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036137255) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 176023) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2015-02-09 |