| NPI | 1740505874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 254287) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT196318) |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2020-11-10 |