| NPI | 1639498561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: OR MD173196) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR PG151647) |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2015-08-11 |