| NPI | 1356636880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A130309) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125059616) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2014-07-06 |