| NPI | 1215113196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101246042) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT 187184) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2016-01-14 |