| NPI | 1295078897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM R18-2014) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT015036) |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2014-12-05 |