| NPI | 1780068775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A157378) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301107132) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2019-07-08 |