| NPI | 1649207242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 26308) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 14748) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2014-12-18 |