| NPI | 1154499580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD17310) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0028479) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2011-12-13 |