| NPI | 1558641340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 49124) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 283306) |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2020-12-29 |