| NPI | 1548497258 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR E-11560) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2012005501) | 
| Enumeration Date | 2009-06-20 | 
| Last Update Date | 2018-10-24 |