| NPI | 1407237688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 38298) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL38298) |
| Enumeration Date | 2015-06-14 |
| Last Update Date | 2018-12-18 |