| NPI | 1104311406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301502818) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301116141) |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2020-12-23 |