| NPI | 1417910571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0102202538) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 44384) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2010-06-18 |