| NPI | 1104200906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D85447) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD P3-1987) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2018-06-12 |