| NPI | 1952519522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD202123) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 205531) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2021-02-19 |