| NPI | 1194774208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD27642) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ID M8357) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2011-09-20 |