| NPI | 1699114272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 52684) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R73890) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2022-07-21 |