| NPI | 1639314834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.129619) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125054243) |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2017-03-06 |