| NPI | 1932467370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2018-02021) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD H79827) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2020-10-26 |