| NPI | 1275854499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 070153) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 4139) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2014-09-10 |