| NPI | 1366880502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 268135) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 255523) |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2020-12-02 |