| NPI | 1487932612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A138014) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 44767) |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2020-02-25 |