| NPI | 1700147667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 277928) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101019816) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2020-12-08 |