| NPI | 1518150580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 61370) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D69494) |
| 207R00000X Internal Medicine (Licence: PA MD432358) | |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2022-07-21 |