| NPI | 1841511060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2014-01792) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 4169) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2016-03-01 |