| NPI | 1457412280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA 39978) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036097176) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2012-03-28 |