| NPI | 1457528135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036121184) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-049073) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2021-02-11 |