| NPI | 1861920027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SD 12246) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 7926) |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2020-10-14 |