| NPI | 1407916034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 53272) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01060371A) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2014-01-28 |