| NPI | 1902118086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 47260) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD165658) |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2021-11-15 |