| NPI | 1336301530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 26226) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 5830) |
| Enumeration Date | 2008-06-28 |
| Last Update Date | 2017-08-15 |