| NPI | 1851682405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2016-02012) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0078364) |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2017-02-10 |