| NPI | 1730373119 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA a100381) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD038438) | 
| Enumeration Date | 2007-08-29 | 
| Last Update Date | 2020-07-21 |