| NPI | 1528049491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036115176) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 60694) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2008-12-01 |