| NPI | 1225552284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A167228) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 271556) |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2022-07-21 |