| NPI | 1720399074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MA 257755) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 245543) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2016-09-02 |