| NPI | 1508894676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 38965) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 157892) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2010-05-27 |