| NPI | 1356309918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0027578) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME36047) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2007-07-08 |