| NPI | 1215244108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME111926) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125056082) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2012-09-25 |