| NPI | 1932344488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301097566) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301097765) |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2021-03-01 |