| NPI | 1710279955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 75124) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 390200000Xl) |
| 207R00000X Internal Medicine (Licence: DC 042583) | |
| 207R00000X Internal Medicine (Licence: LA 206179) | |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2016-04-18 |