| NPI | 1295965614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 22243) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS T-2187) |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2013-11-19 |