| NPI | 1841288685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 200400470) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 200400470) |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2018-04-26 |