| NPI | 1386800431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101256552) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT193610) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2020-08-17 |