| NPI | 1528023967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 56299) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI 9134) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2010-04-26 |