| NPI | 1760825533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MT 67175) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101261098) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2021-04-02 |