| NPI | 1164683801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV DO1633) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R70143) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2013-04-26 |