| NPI | 1124114509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 28446) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 053025) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2013-05-02 |