| NPI | 1740374123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM 92-313) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM 92313) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2015-01-22 |