| NPI | 1225395593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2014-01053) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116024145) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2020-11-29 |