| NPI | 1598754632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 33804) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 13017) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2016-09-15 |