| NPI | 1104239268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME131872) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-9976) |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2019-08-15 |