| NPI | 1710079843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA 23925) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MT 25961) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2013-07-30 |