| NPI | 1669853990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 30870) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 7442) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2018-09-24 |