| NPI | 1376557884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D48043) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC 17013) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2012-04-13 |