| NPI | 1770895344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 70734) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 1770895344) |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2020-12-27 |