| NPI | 1114937984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2006-0490) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116015347) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2008-07-25 |