| NPI | 1265486112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2010-0096) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR C7659) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2010-05-07 |