| NPI | 1699972596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 21143) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 002570) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2012-10-29 |