| NPI | 1629422548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 281286) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 62347) |
| Enumeration Date | 2016-04-17 |
| Last Update Date | 2022-08-22 |