| NPI | 1083684153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME89679) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301072100) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2014-01-20 |