| NPI | 1598140006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 31426) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 7515) |
| Enumeration Date | 2015-07-26 |
| Last Update Date | 2019-10-07 |