| NPI | 1083873590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR E-8312) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10030893) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2015-02-05 |