| NPI | 1588824098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 44841) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 233424) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2018-11-05 |