| NPI | 1740631233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 277736) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 268059) |
| Enumeration Date | 2016-06-25 |
| Last Update Date | 2022-04-25 |