| NPI | 1851602080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI MD17492) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR PG151774) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2016-08-08 |