| NPI | 1114991999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 41834) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101232487) |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2013-07-31 |