| NPI | 1265881577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS16060) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL UO4872) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2019-07-16 |