| NPI | 1750617130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2010-0482) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 17774) |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2011-06-09 |