| NPI | 1629253935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME 101197) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 11012098A) |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2008-03-15 |