| NPI | 1003921552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME 0111801) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 39416) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2012-11-26 |