| NPI | 1619188216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MT 40873) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 005587) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2016-12-15 |