| NPI | 1821186925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 28187) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 39260) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2012-08-15 |