| NPI | 1861418162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 9400152) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 56501) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2018-09-24 |