| NPI | 1548221450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 29935) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 35829) |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2016-04-01 |