| NPI | 1366504813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA 40355) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036107026) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2014-03-11 |