| NPI | 1740693100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 274629) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 259563) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2019-09-20 |