| NPI | 1306861620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0054034) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D54034) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2021-05-31 |