| NPI | 1790878890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101242786) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD429964) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2011-01-03 |