| NPI | 1396001269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036145386) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2015-00907) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2018-07-01 |