| NPI | 1295140846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL 132044) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 19146) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2019-08-31 |