| NPI | 1417936378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA DO.000192) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 9701129) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2012-05-21 |