| NPI | 1518250174 |
|---|---|
| Former Name | SOPHIA LOUISE HINES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID MRO1272) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0055382) |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2016-06-17 |