| NPI | 1275626103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 41189) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01061708A) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2010-01-12 |