| NPI | 1063745107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 44253) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R70652) |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2013-05-20 |