| NPI | 1871858217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 071223) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA md446117) |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2015-04-16 |