| NPI | 1669736153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101019713) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5315054297) |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2020-05-11 |