| NPI | 1659399566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 021580) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 045035) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2014-10-29 |