| NPI | 1437142791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301097465) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2002-00067) |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2010-09-17 |