| NPI | 1659537876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0068014) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D00680014) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2008-09-08 |