| NPI | 1598059479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 257769) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 248941) |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2018-01-02 |