| NPI | 1669810537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 29262) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL35854) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2019-06-25 |