| NPI | 1871543538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2008002480) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 055799) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2012-09-21 |