| NPI | 1558534263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101245571) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301091486) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2014-02-17 |