| NPI | 1922261114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2009003444) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036119407) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2013-02-06 |