| NPI | 1962529446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ND 11583) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2004015384) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2012-01-18 |