| NPI | 1487834214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AK 6809) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.202504) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2012-05-30 |