| NPI | 1861538696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.120458) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 336-114177) |
| 207R00000X Internal Medicine (Licence: NE 24299) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2015-05-20 |