| NPI | 1205284908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 279035) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 267717) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2019-09-16 |