| NPI | 1457388738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 48393-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2007025198) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2016-09-20 |