| NPI | 1164528865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD126198) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 48684) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2020-10-06 |