| NPI | 1073608550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2015-0912) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 261221) |
| 207R00000X Internal Medicine (Licence: OH 35065385L) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2018-07-03 |