| NPI | 1831475706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 53276) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301099320) |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2014-07-29 |