| NPI | 1205008935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 73105) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101245534) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2015-02-23 |