| NPI | 1780965343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2013020393) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 5066) |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2015-04-15 |