| NPI | 1467485029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 23899) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 200301216) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2015-01-14 |