| NPI | 1013964287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MT 12778) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 225423) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2015-05-08 |