| NPI | 1801250998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301502594) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 69042-20) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2020-07-28 |