| NPI | 1558309278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS012062) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 5160) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2016-09-20 |