| NPI | 1730171810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SD SD3772) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SD 3772) |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2012-04-04 |