| NPI | 1710917539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD32629) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0056936) |
| 207R00000X Internal Medicine (Licence: CA C55522) | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2015-07-25 |