| NPI | 1588012223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 288209) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 267507) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2021-09-29 |