| NPI | 1780881128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 21132) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R1036) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2013-04-09 |