| NPI | 1851611214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 067333) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 207060) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2018-07-23 |