| NPI | 1912325176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301111706) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 21345) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2022-02-17 |