| NPI | 1134151053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 54028) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ID m-9259) |
| 207R00000X Internal Medicine (Licence: WA MD00045558) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2018-03-17 |