| NPI | 1720387327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 2712) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102204100) |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2016-03-30 |