| NPI | 1174581508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: MD D70933) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 1330-TEP) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2012-03-15 |