| NPI | 1548559750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036138151) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 52743) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2018-05-10 |