| NPI | 1285861294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2012017119) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125:056663) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2017-03-15 |