| NPI | 1255326252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD192270) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 12016) |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2020-02-11 |