| NPI | 1316387582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD177903) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301102498) |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2016-08-23 |