| NPI | 1366443608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0063396) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 200401249) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2007-07-09 |