| NPI | 1497834519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 32593) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VT 0420007727) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-07-09 |