| NPI | 1134211527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 25634) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME78147) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2007-07-08 |