| NPI | 1073932414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 83219) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 51255) |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2021-02-19 |