| NPI | 1497190953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 077733) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 30033) |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2017-04-20 |