| NPI | 1568774354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 26770) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 6287) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2016-11-16 |