| NPI | 1194751362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 37968) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 50616661205) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2012-01-06 |