| NPI | 1093026940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 15662) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.055933) |
| 207R00000X Internal Medicine (Licence: MA 265155) | |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2015-10-29 |