| NPI | 1750569828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D68088) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD P20390) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2022-03-09 |