| NPI | 1528322526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 63746) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125061891) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2015-08-18 |