| NPI | 1306109210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2017-00083) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL34887) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2017-04-25 |