| NPI | 1164879656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 277740) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 267215) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2020-10-19 |