| NPI | 1194002717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA 002279) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD038679E) |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2011-11-10 |