| NPI | 1174817621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 62439-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R82841) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2021-03-03 |