| NPI | 1093817413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 00017325) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 17325) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2008-10-24 |