| NPI | 1902060940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 66233) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC Pending) |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2016-11-04 |