| NPI | 1720071103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2009-01515) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036109635) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2012-05-19 |