| NPI | 1669891545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 86185) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD045146) |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2020-10-15 |