| NPI | 1376958355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR T2020-131) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301104978) |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2020-07-31 |