| NPI | 1053433367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC 20302) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D48015) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2010-07-27 |