| NPI | 1245312305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 035005) |
| Additional Taxonomies | 174400000X Specialist (Licence: CT 035005) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2014-09-03 |