| NPI | 1730616384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 282044) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 64210) |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2020-07-03 |