| NPI | 1821060609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA 21922) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 36-085980) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2007-07-09 |