| NPI | 1013029040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0070774) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A068477) |
| 207R00000X Internal Medicine (Licence: NC 93-00131) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |