| NPI | 1205192911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 29224) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 61663-20) |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2016-08-05 |