| NPI | 1811223233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2012022391) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT194707) |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2012-11-20 |