| NPI | 1104939545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA DO-03828) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R7880) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2015-02-11 |