| NPI | 1730164088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 44941) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036061616) |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2016-10-26 |