| NPI | 1669551263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101244496) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0063896) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2009-03-19 |