| NPI | 1285622407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 200101583) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 47629) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2010-07-06 |