| NPI | 1124293881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2011-01206) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 149274) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2018-09-24 |