| NPI | 1225173115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 235219) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301083647) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2009-04-22 |