| NPI | 1871559948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID O0633) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS012839) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2012-09-15 |