| NPI | 1194073932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 81357) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 54005) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2018-10-16 |