| NPI | 1598759888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D70922) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 34326) |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2020-11-05 |