| NPI | 1417396144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 51693) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 35952) |
| Enumeration Date | 2013-06-16 |
| Last Update Date | 2016-03-24 |