| NPI | 1952302911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 16568) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101222136) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2007-07-08 |