| NPI | 1417305509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01083552A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 0000000000) |
| Enumeration Date | 2016-05-30 |
| Last Update Date | 2020-08-04 |