| NPI | 1649502741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301097401) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125052261) |
| Enumeration Date | 2010-02-01 |
| Last Update Date | 2016-09-29 |