| NPI | 1518903731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA 40337) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 51392-20) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2012-09-06 |