| NPI | 1881779510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 38244) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 40348) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2011-06-02 |