| NPI | 1972508950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101234748) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SD 5468) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2010-02-26 |