| NPI | 1184880932 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101-249478) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2007012249) | 
| 207R00000X Internal Medicine (Licence: MO 2010024976) | |
| Enumeration Date | 2008-07-31 | 
| Last Update Date | 2012-03-02 |