| NPI | 1164686358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 53323) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT193113) |
| 207R00000X Internal Medicine (Licence: OR MD155046) | |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2016-02-09 |