| NPI | 1245607571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ZZ 30253) |
| Additional Taxonomies | 208D00000X General Practice (Licence: ZZ 37268) |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2015-08-21 |