| NPI | 1184687311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2007016203) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 9300183) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2012-05-02 |