| NPI | 1144414020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 205110) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 37211) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2012-03-27 |