| NPI | 1720285000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS014509) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA ot011542) |
| 207R00000X Internal Medicine (Licence: MD H068988) | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2014-03-21 |