| NPI | 1073667358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 40255) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN8369) |
| 207R00000X Internal Medicine (Licence: FL ME99823) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2015-08-19 |