| NPI | 1629288865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 25194) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 5381) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2012-10-23 |