| NPI | 1205093705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101243788) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2008-01597) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2019-02-04 |