| NPI | 1700083961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301095297) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-116596) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2010-12-06 |