| NPI | 1316939218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2013038708) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD425177) |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2020-06-30 |