| NPI | 1265795256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS017855) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116025012) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2019-06-26 |