| NPI | 1407895188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101248058) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 27220) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2012-06-19 |