| NPI | 1265490874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101253827) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 153473) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2013-06-18 |