| NPI | 1548551484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A127732) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 54741) |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2018-03-17 |