| NPI | 1053607192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2014022608) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101019471) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2017-01-16 |