| NPI | 1275566366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 52207-020) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-083490) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2011-10-20 |