| NPI | 1326350083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 36133449) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125058865) |
| 207R00000X Internal Medicine (Licence: OH 57.020553) | |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2013-10-08 |