| NPI | 1376958835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301112009) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2014011296) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2020-10-27 |