| NPI | 1194928713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 80662) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2009-02041) |
| Enumeration Date | 2007-06-10 |
| Last Update Date | 2011-08-11 |