| NPI | 1982692380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D58153) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD38876) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2007-07-08 |