| NPI | 1073787859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA 4502) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR DO28709) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2014-01-10 |