| NPI | 1417377250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101020912) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI L206824) |
| Enumeration Date | 2014-04-20 |
| Last Update Date | 2024-05-25 |