| NPI | 1851365431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101240962) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD427024) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2013-01-03 |