| NPI | 1740486976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 059329) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME105115) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2015-10-05 |