| NPI | 1285073270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 65415) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 11017418A) |
| Enumeration Date | 2013-06-23 |
| Last Update Date | 2016-07-14 |