| NPI | 1922494244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 284363) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 279210) |
| 207R00000X Internal Medicine (Licence: VA 0101263910) | |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2021-10-05 |