| NPI | 1902245558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA DO-05840) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-9783) |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2021-10-07 |