| NPI | 1245643808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 270227) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2014016519) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2018-08-28 |