| NPI | 1548498843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 201500846) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL31987) |
| 207R00000X Internal Medicine (Licence: SC 31987) | |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2015-10-06 |