| NPI | 1477816486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 264415) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 249698) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2020-03-30 |