| NPI | 1538189519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 19087) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 9700330) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2016-12-09 |