| NPI | 1164534806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI 10395) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI MD10395) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-04-22 |