| NPI | 1134180391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 33239) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2003-01081) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2018-06-14 |