| NPI | 1891010666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2014011936) |
| Additional Taxonomies | 208D00000X General Practice (Licence: OK 0) |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2015-06-30 |