| NPI | 1184641870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D67688) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101232327) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2008-08-05 |