| NPI | 1396127742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 55014) |
| Additional Taxonomies | 208D00000X General Practice (Licence: ZZ 00128440) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2018-08-08 |