| NPI | 1568409829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2010-0522) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 39955) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2018-01-16 |