| NPI | 1972023778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 169373) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 272350) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2020-07-28 |