| NPI | 1932161742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 200801391) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 216192) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2016-12-06 |