| NPI | 1942647227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 80522) |
| Additional Taxonomies | 174400000X Specialist (Licence: LA 303331) |
| 207R00000X Internal Medicine (Licence: LA 303331) | |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2018-06-21 |