| NPI | 1548641897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 1801) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 7467) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2018-07-30 |