| NPI | 1881846020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D72783) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC 121346) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2013-01-30 |