| NPI | 1831456318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 078626) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2016-00204) |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2022-07-21 |