| NPI | 1538459474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2018-00807) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 37348) |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2021-08-10 |