| NPI | 1457625303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01076327A) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: IL 125062361) |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2021-07-19 |