| NPI | 1679584684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2014-0587) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 27775) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2019-09-11 |