| NPI | 1790879633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.120757) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 36073550) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2013-11-06 |