| NPI | 1275689622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 230593) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 221727) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2019-12-17 |