| NPI | 1245551977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 60011-20) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125-058093) |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2019-02-25 |