| NPI | 1861430852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 255304) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 51301471205) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2014-12-17 |