| NPI | 1811337736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC DO40760) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 40760) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2021-02-25 |