| NPI | 1669435707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 081189) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2015-01372) |
| 207R00000X Internal Medicine (Licence: MO 2009028452) | |
| 207R00000X Internal Medicine (Licence: PA MD064633L) | |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2018-10-15 |