| NPI | 1336109719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 048167) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 223406) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2011-04-01 |