| NPI | 1336300508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301100057) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 11014173A) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2012-05-10 |