| NPI | 1235126020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 158807) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01035982A) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2010-03-02 |