| NPI | 1255622619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 097945) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036127026) |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2011-11-01 |