| NPI | 1144516386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 61210) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2014-00900) |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2020-07-13 |