| NPI | 1558538041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-130054) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 11013282A) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2016-11-01 |