| NPI | 1679821938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 270920) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 73475) |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2017-10-23 |