| NPI | 1134171374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 37318) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 47473) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2008-02-01 |