| NPI | 1609025717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 62274) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-41158) |
| 207R00000X Internal Medicine (Licence: IA 41158) | |
| 207R00000X Internal Medicine (Licence: MA 237777) | |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2018-03-17 |