| NPI | 1386641769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301091374) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101034696) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2012-01-13 |