| NPI | 1801070297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D92606) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101242756) |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2022-03-08 |