| NPI | 1851494462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 20391) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 11366) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2016-04-07 |