| NPI | 1477659688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D60112) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101234591) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2016-08-16 |