| NPI | 1215191861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO R4E05) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 0336032261) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2014-03-17 |