| NPI | 1841432929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD192547) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VT 0420012395) |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2023-01-06 |