| NPI | 1275772576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 74966) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS015367) |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2016-11-03 |