| NPI | 1285631622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 200001203) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 01203) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2016-12-13 |