| NPI | 1336139039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 46541) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 36206) |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2015-02-26 |