| NPI | 1407010705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 246963) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 237308) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2021-03-08 |