| NPI | 1821440777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 31654) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 7830) |
| Enumeration Date | 2016-07-04 |
| Last Update Date | 2019-08-21 |