| NPI | 1609979632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME81364) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL F37715) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2016-07-15 |