| NPI | 1366936981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4351038210) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301114528) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2021-06-15 |