| NPI | 1528292893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101251608) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT195186) |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2013-01-15 |