| NPI | 1891179735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 277945) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 57326) |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2020-11-24 |