| NPI | 1295082337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 38587) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD036442E) |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2015-10-14 |