| NPI | 1285883884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2010-01533) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 002503) |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2017-03-17 |