| NPI | 1316985427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 55041) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-109295) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2012-05-18 |