| NPI | 1356755607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 270105) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 326635) |
| 207R00000X Internal Medicine (Licence: CA A167923) | |
| Enumeration Date | 2014-06-15 |
| Last Update Date | 2022-03-28 |