| NPI | 1487975694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 069793) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 4268) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2014-09-10 |