| NPI | 1942419643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AL 23017) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 00023017) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2009-01-07 |