| NPI | 1639274129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 10771) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 216244) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2014-10-29 |