| NPI | 1922263581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 261249) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 17904) |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2014-11-07 |