| NPI | 1801053541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101244082) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD 68049) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2017-12-29 |