| NPI | 1700140357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 21267) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101256047) |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2022-06-16 |