| NPI | 1891730974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME69660) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME069660) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2015-02-24 |