| NPI | 1114066131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 44803) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2008-0265) |
| 207R00000X Internal Medicine (Licence: NM 2005-0291) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2012-02-16 |