| NPI | 1881821023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA 40523) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-8743) |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2012-10-01 |