| NPI | 1245663590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 22706) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC BR 5959967) |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2013-08-09 |