| NPI | 1568556934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM 93286) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD153008) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2011-01-12 |