| NPI | 1477621811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 200701203) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 055124) |
| Enumeration Date | 2006-12-02 |
| Last Update Date | 2013-02-20 |