| NPI | 1629463237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR DO187237) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR 172264) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2020-11-06 |