| NPI | 1063807287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 52308) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT208206) |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2018-07-02 |