| NPI | 1063863983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A168068) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 267767) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2020-08-05 |