| NPI | 1396732129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D26650) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 13770) |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2018-05-21 |