| NPI | 1164799599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125060520) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 260289) |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2015-05-06 |