| NPI | 1497167613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD181708) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR PG167949) |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2021-03-10 |