| NPI | 1861786345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 33622) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL33622) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2020-12-10 |