| NPI | 1508823105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA 28642) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD12480R) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2007-11-27 |