| NPI | 1336336312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101247872) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT191833) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2014-04-14 |