| NPI | 1285862151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 27832) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 6013) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2015-03-03 |