| NPI | 1891132155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA OP60587802) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34.011569) |
| 207R00000X Internal Medicine (Licence: PA OS017341) | |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2016-06-09 |