| NPI | 1831283720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 253223) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 48176) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2012-09-10 |