| NPI | 1841270634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301066984) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI 4301066984) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2018-07-11 |