| NPI | 1508136102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036136914) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125060715) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2015-10-08 |