| NPI | 1861462509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 51415) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD23663) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2016-07-25 |