| NPI | 1962498287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VT 0420005580) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VT 5580) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2012-12-08 |