| NPI | 1417937574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036132144) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2010006153) |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2014-03-20 |