| NPI | 1780619619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301089129) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-113116) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2008-07-16 |