| NPI | 1376729079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NV 13941) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: IL 125050366) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2013-01-09 |