| NPI | 1447793567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 201700756) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL U03901) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2018-12-19 |