| NPI | 1679754592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 005714) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-050861) |
| 207R00000X Internal Medicine (Licence: WA OP60139757) | |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2012-01-16 |