| NPI | 1629332630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301116647) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 005743) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2021-03-12 |