| NPI | 1184059503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS13157) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL UO3072) |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2016-08-08 |