| NPI | 1568648921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 060602) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 002267) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2016-04-08 |