| NPI | 1306229836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2018022965) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS T-2957) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2021-07-13 |