| NPI | 1447389994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 36-108225) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036-108225) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2007-07-08 |