| NPI | 1831594647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01080131A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301110893) |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2021-08-30 |