| NPI | 1346420304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036121707) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-050604) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2008-08-26 |