| NPI | 1891094355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036135792) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 59488-20) |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2014-11-14 |