| NPI | 1255712667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01084043A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-262984) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2023-02-16 |