| NPI | 1255745170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 30003) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 7226) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2017-07-18 |