| NPI | 1760430268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 045061) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME33079) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2014-03-18 |