| NPI | 1114219839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101255136) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME123476) |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2019-01-22 |