| NPI | 1366408510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 204859) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01060840A) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2019-10-16 |