| NPI | 1992968960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0074139) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD434638) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2022-08-03 |