| NPI | 1831159896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 25689) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0063501) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2014-06-06 |