| NPI | 1437264512 |
|---|---|
| Doing Business As | |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 47419) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-058049) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2007-07-08 |