| NPI | 1215279153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID M-13367) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ID mrm-1340) |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2022-09-29 |