| NPI | 1851487573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI MD-8434) |
| Additional Taxonomies | 208D00000X General Practice (Licence: HI MD-8434) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-09 |