| NPI | 1982897922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 31189) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 059498) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2014-05-14 |