| NPI | 1013989623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 32275) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 200500395) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2015-12-14 |