| NPI | 1295912814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD170165) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301087763) |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2021-03-25 |