| NPI | 1659688588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036132704) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125057752) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2014-10-03 |