| NPI | 1285690826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD28643) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 206859) |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2021-12-07 |