| NPI | 1235668997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301502653) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 272127) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2020-07-15 |