| NPI | 1861497950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 25063) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: AZ 25063) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2011-05-17 |