| NPI | 1619314887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 28914) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 6926) |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2021-12-17 |