| NPI | 1205147782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 32652) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.057836) |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2017-04-19 |