| NPI | 1235541012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR E-13396) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2019-01201) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2020-09-17 |