| NPI | 1699722348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 24812) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 00024812) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2011-03-30 |