| NPI | 1942659339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 277205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 267741) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2019-06-06 |