| NPI | 1760655187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2019-01640) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.128479) |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2019-08-08 |