| NPI | 1245398148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0046576) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC 21199) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2022-01-07 |