| NPI | 1205891892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01046754A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 31326) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2016-07-13 |