| NPI | 1134176043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 219011) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 35630) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2007-07-08 |