| NPI | 1285073395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2016-00984) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116026109) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2020-10-25 |