| NPI | 1851553861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 005197) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R941) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2011-08-03 |