| NPI | 1598714164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 051828) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 52243) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2018-10-21 |