| NPI | 1497989123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 053732) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 55713) |
| Enumeration Date | 2009-05-09 |
| Last Update Date | 2020-03-24 |