| NPI | 1154687259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD176738) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 39) |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2020-10-06 |