| NPI | 1043297500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ME EL071037) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 59260) |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2008-01-02 |