| NPI | 1912009515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME 86032) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI MD-11597) |
| 207R00000X Internal Medicine (Licence: LA 025907) | |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2008-03-05 |