| NPI | 1225340987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 11015993A) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301096586) |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2011-06-22 |