| NPI | 1629363791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 6560) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD42973) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2016-02-26 |