| NPI | 1952322950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D39456) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC 12657) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2012-04-13 |