| NPI | 1467866715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 272844) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 259221) |
| Enumeration Date | 2014-06-15 |
| Last Update Date | 2017-10-12 |