| NPI | 1780903625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 268304) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD449317) |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2022-12-19 |