| NPI | 1982702635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101244710) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 22163) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2009-12-29 |