| NPI | 1275978298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101260810) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D82112) |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2018-04-04 |