| NPI | 1295183234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 58054) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R75598) |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2021-08-13 |