| NPI | 1649506494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2012-01995) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 29829) |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2015-07-23 |