| NPI | 1275647620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 20720) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 33596) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2014-01-03 |