| NPI | 1518926021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME96478) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036108508) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2014-02-12 |