| NPI | 1346385119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0060991) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101235670) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2007-07-08 |