| 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 |