| NPI | 1255591970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD154950) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR 154950MD) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2012-04-20 |