| NPI | 1417242850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI MD-17821) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2014-01145) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2020-05-29 |