| NPI | 1376665471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID M11630) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 47626) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2014-02-04 |