| NPI | 1578083515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2020008238) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2017016768) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2021-08-17 |