| NPI | 1982860631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125-054502) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125-054502) |
| 207RN0300X Internal Medicine, Nephrology (Licence: IN 01074365) | |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2014-10-14 |