| NPI | 1730273079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 46435) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 053713) |
| 207R00000X Internal Medicine (Licence: LA MD202661) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2010-12-06 |