| NPI | 1427011311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2007-01452) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036114715) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2015-03-30 |