| NPI | 1003079120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID M-13462) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101247286) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2016-11-23 |