| NPI | 1225418734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2019-02879) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 061672) |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2020-06-22 |