| NPI | 1720160492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 55487) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 5758815-1205) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2015-06-02 |