| NPI | 1225352115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: VA 0101250457) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116022543) |
| Enumeration Date | 2010-03-21 |
| Last Update Date | 2011-11-03 |