| NPI | 1740500065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD222374) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101267213) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2024-10-29 |