| NPI | 1417929076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 11902) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 218117) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2008-09-11 |