| NPI | 1023490968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ME MD24285) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301115781) |
| Enumeration Date | 2015-06-28 |
| Last Update Date | 2021-02-12 |