| NPI | 1285865311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 59962) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD P24259) |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2019-04-03 |