| NPI | 1275576902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI DOS-1160) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101012028) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2008-04-17 |