| NPI | 1679912984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 49606) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-063821) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2016-11-11 |