| NPI | 1871571901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 25980) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 23267) |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2011-10-10 |