| NPI | 1861756850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036137807) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125060913) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2015-06-22 |