| NPI | 1659361756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 51966) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 15617) |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2018-08-17 |