| NPI | 1609919497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD H0073247) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD P18479) |
| 207R00000X Internal Medicine (Licence: FL OS 10334) | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2012-12-25 |