| NPI | 1801081666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 66348) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301090338) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2019-04-17 |