| NPI | 1538227418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 95-00450) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NC 9500450) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2017-01-04 |