| NPI | 1346475100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 205749) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN#13700) |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2012-09-27 |