| NPI | 1376645044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 3468) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 1148) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2011-03-29 |