| NPI | 1548502966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VT 042.0013414) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA ML60361984) |
| Enumeration Date | 2013-03-24 |
| Last Update Date | 2016-08-08 |