| NPI | 1346655388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 272576) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 260916) |
| Enumeration Date | 2014-06-28 |
| Last Update Date | 2019-01-09 |