| NPI | 1992710743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 14423) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 18858) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2013-03-29 |