| NPI | 1780898833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 55309) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN TN25944) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2016-07-29 |