| NPI | 1164445912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 060310) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 32005) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2009-09-16 |