| NPI | 1780096727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD H0081821) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS 12730) |
| Enumeration Date | 2014-05-26 |
| Last Update Date | 2017-04-21 |