| NPI | 1700372273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5151010494) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101024350) |
| Enumeration Date | 2018-07-07 |
| Last Update Date | 2019-01-22 |