| NPI | 1447275607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 049024) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 35424) |
| 207R00000X Internal Medicine (Licence: NC 200601247) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2012-10-01 |