| NPI | 1548499429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 279264) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 28047) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2020-02-05 |