| NPI | 1609034545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR 28441) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR LL16773) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2018-06-28 |