| NPI | 1912043043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR E5491) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 113018) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2010-12-08 |