| NPI | 1225441371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 149385) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-259323) |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2020-12-14 |