| NPI | 1831584374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 328358) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME136888) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2022-07-11 |