| NPI | 1376692855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101014297) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI SM014297) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2019-04-12 |