| NPI | 1598772212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 36185) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 56271) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2014-11-14 |