| NPI | 1912984709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: VA 0101255688) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 214828) |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2014-02-20 |