| NPI | 1467731570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 55499) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125060682) |
| Enumeration Date | 2011-08-06 |
| Last Update Date | 2013-11-05 |