| NPI | 1215162102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-132450) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-8602) |
| 207R00000X Internal Medicine (Licence: IA 40070) | |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2013-08-30 |