| NPI | 1669533196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0052555) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD32381) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2021-06-23 |