| NPI | 1801058219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MD D0077721) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD P22876) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2015-09-24 |