| NPI | 1578720546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D71098) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA AH19180184687) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2022-09-02 |