| NPI | 1770683641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR E-4712) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD432823) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2013-01-17 |