| NPI | 1427217157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D72580) |
| Additional Taxonomies | 172A00000X Driver (Licence: CT 188284251) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2011-07-07 |