| NPI | 1669636049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D74889) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101246209) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2022-01-20 |