| NPI | 1073554069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA DO-03805) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101014736) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2015-11-05 |