| NPI | 1780658641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 31371) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD424541) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2010-06-30 |