| NPI | 1720268410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2011032711) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 001837) |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2011-11-07 |