| NPI | 1750517975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD H78281) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101018204) |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2021-12-16 |