| NPI | 1326121096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME96916) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 55443) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2009-12-09 |