| NPI | 1780619452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301106925) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036111454) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2015-05-06 |