| NPI | 1669891446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 1013873) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 58572) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2023-05-11 |