| NPI | 1407083215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD167227) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME MD19283) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2019-05-24 |