| NPI | 1154584068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125051018) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125051018) |
| 207R00000X Internal Medicine (Licence: CO 49046) | |
| 208000000X Pediatrics (Licence: CO 49046) | |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2012-06-25 |