| NPI | 1245402163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS14903) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 03420) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2018-06-12 |