| NPI | 1669713624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A136237) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 253929) |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2022-01-05 |