| NPI | 1831206382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 050631) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 38743) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2017-10-25 |