| NPI | 1396034484 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036135615)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125060483)  | 
| Enumeration Date | 2011-03-30 | 
| Last Update Date | 2016-05-12 |