| NPI | 1457841355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 3704) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116031993) |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2021-05-31 |