| NPI | 1770880163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A122975) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125059005) |
| Enumeration Date | 2011-02-21 |
| Last Update Date | 2013-10-28 |