| NPI | 1700801792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2005-00652) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 51776) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2019-02-12 |