| NPI | 1770920217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 271011) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA 60654546) |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2018-11-27 |