| NPI | 1396902219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 55206-21) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL ap388152872239) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2012-02-03 |