| NPI | 1598293367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 282651) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 271083) |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2021-04-21 |