| NPI | 1093235970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2020011526) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2017020355) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2021-02-12 |