| NPI | 1871744490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2010-00982) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036118163) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2010-10-04 |