| NPI | 1548445620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301097467) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD P21898) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2018-01-12 |