| NPI | 1386819407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 79425) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 47064) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2019-05-06 |