| NPI | 1528478831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 40722) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R74316) |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2022-01-13 |