| NPI | 1033256326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME99447) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 056328) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2009-06-02 |