| NPI | 1205097235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD151038) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR LL18004) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2020-10-14 |