| NPI | 1407050933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD156968) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 50929) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2021-03-22 |