| NPI | 1851616627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 5685920) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 56859) |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2020-03-04 |