| NPI | 1104930502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101253967) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 26227) |
| 207R00000X Internal Medicine (Licence: AL 44767) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2017-02-21 |