| NPI | 1023080447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101015469) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102201734) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2015-07-01 |