| NPI | 1942269204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM A-1608-11) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-115172) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2012-04-05 |