| NPI | 1023295128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 62393) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 002026) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2017-03-24 |