| NPI | 1841551041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD173650) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR PG158618) |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2021-01-19 |