| NPI | 1346418472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 242127) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301088445) |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2015-02-05 |