| NPI | 1902211956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 11018099A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301104803) |
| Enumeration Date | 2014-06-29 |
| Last Update Date | 2015-07-02 |