| NPI | 1306081963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 269063) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 049400) |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2017-03-13 |