| NPI | 1285711051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-081611) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036081611) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2016-01-13 |