| NPI | 1972586667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101241313) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 009001118) |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2015-04-30 |