| NPI | 1831537729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101265437) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD459670) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2019-10-22 |