| NPI | 1740264035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 20279) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 46125) |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2014-05-09 |